Asheville, NC Mohs Surgery

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Tips & Advice

Why is cosmetic surgery also referred to ask “plastic surgery”?

Plastic surgery comes from the Greek word “plastikos,” which means “to mold” or “to change.” Plastic surgery is a specialty in the restoration, reconstruction, or alteration of the human body. It includes cosmetic or aesthetic surgery, but also includes reconstructive surgery, craniofacial surgery, hand surgery, microsurgery, and burn treatment.

Does cosmetic surgery require any hospital stay?

The vast majority of cosmetic surgical procedures occur on an outpatient basis. With more extensive surgery, such as a tummy tuck, a previous health condition, or monitoring is needed, the doctor might require a short hospital stay.

How much does cosmetic surgery cost?

Depending on the procedure, cosmetic surgery can cost anywhere from several -hundred dollars for facial “filler” injections to $20,000 for extensive invasive surgery. In addition to the surgeon’s fee, the patient or insurance company will be responsible for a surgical facility fee, anesthesia, medical tests, prescriptions, surgical garments, and other miscellaneous costs related to surgery.

What is the most common cosmetic surgery?

According to the American Society for Aesthetic Plastic Surgery, the top five cosmetic surgical procedures in 2016 were:

While there is no definitive age minimum or maximum for a given procedure, most doctors won’t operate on minors for cosmetic reasons. Beyond the actual surgery, the risks of general anesthesia should be a major consideration for elderly patients. Good doctors will advise patients against a procedure they think is unnecessary, carries unwanted risk, or won’t produce the desired outcome.

What are the possible side effects of cosmetic surgery?

In addition to the surgical risks, side effects of cosmetic surgery include:

Extended time to heal

Expense of the surgery, time off work, or additional child care

Negative emotional and psychological effects

Bruising and discomfort

What are the possible risks of cosmetic surgery?

All surgeries, including the smallest cosmetic procedures, carry risk.

Hematoma (blood pocket) or seroma (fluid pocket)

Nerve damage

Infection

Deep vein thrombosis and pulmonary embolism

Visible scarring

Organ damage

Anesthesia complications

Blood loss

Surgical mistakes

Pain or numbness that does not subside as expected

Dissatisfaction with the outcome

Patients with a history of lung or heart disease, obesity, or diabetes have a higher risk of stroke, heart attack, blood clots and pneumonia. Smoking also negatively affects surgical risks and healing.

How long does it take to recover from cosmetic surgery?

The time it takes to resume a relatively normal routine after cosmetic surgery depends on the type of surgery, but generally ranges from one to four weeks. Recovery time for a facelift is two weeks, but the residual swelling, bruising, and changes in skin sensation might take up to a year to fully resolve.

How long do the effects of cosmetic surgery last?

Cosmetic surgical procedures have a wide-ranging longevity, depending on the type of surgery, the patient’s age, skin elasticity, and other factors. Some injectable facial fillers will last only a few months. A breast augmentation can be done once -- or every 10 years. A “skin only” facelift will last a few years, whereas a more complex facelift can last five 10 years. Because doctors can perform such a wide variety of cosmetic surgeries, on face, breasts, or body, each case can be different.

Staff is generally nice. My biggest issue is actually getting fast call backs for results. For example, I had an ultrasound done on my abdomen at the beginning of the month, and here it is over 3 weeks later and still have not had any contact about my results. When I call, my doctor is out and I was told "I'll leave a message but I have no idea when she will get back with you". I know doctors need their vacations too, but this is the third time I have tried to either get results back or make an appointment and received this response. I even had to reschedule an appointment the day before I was to be seen because the doctor was not going to be in. It is very frustrating rearranging my schedule with such late notice from their office.Once you are able to make it to the office, the office staff is really nice.

Top notch physician. Dr. McCarrick is an internist, pulminologist, critical care pulminologist, and sleep disorder (sleep study) physician. Dr. M is one of the most well rounded physicians I have encountered in my 65 years of visiting physicians throughout the US and Europe. In addition to his immense knowledge and capabilities, he is also one of the easiest physicians to speak to and deal with. I now live 3,000 miles away from Asheville but travel back to Asheville to see Dr. McCarrick. He is that outstanding that I will take the beatings of travel to see him. Top notch physician. Ten stars if I could give them.

I am surprised and disheartened by the reviews of this clinic. I have been treated by many pain management specialist over the sixty seven years of my life. Some are abrupt, some are trying to diagnose health problems and seem abrupt. The Dr. with the thick accent is an excellent physician.He really tries to help his patients. His office seems to run smoothly and his staff is certainly professional. Are the other reviews written by inferior colleague? The other reviews are ridiculous .

I agree 100 percent with the assessment made by first reviewer on Dr. Mccarrick's all around expertise. He has been my family's pulminologist for genetic lung issyes for over 20 years. On numerous occasions he has pucked up on other related and unrelated medical issues whilst treating the family. The Edney family owes a great debt to the hard work and depth of concern by Dr. Mccarrick. Simply put, He is brilliant.

From the first time I went to Dr. Cole the way he and the whole staff treated me was wonderful! Thank you , my leg is beautiful! And feels great!!!! I just love , love, love .... you Dr. Cole!!!! Thank you!!! Elaine Hopkins

Physicians and surgeons help to keep people - from infants to the elderly - as healthy as possible. These individuals provide diagnoses and treatments for a wide variety of ailments, and preventative care and early detection for more serious illnesses. Whether you love or hate going to the doctor, the fact is your physician is there to listen to your health concerns, take preventative measures against diseases and advise you on your options for staying in tip-top shape.

In 2013, there were more than 1 million doctors of medicine in the U.S., over 854,000 of which were active. Additionally, in 2012, there were about 18,000 active general surgeons in the country. It's important to know which type of physician or surgeon you need, how to choose the best one, and account for other considerations in order to stay healthy.

Different Types of Physicians

Patients can choose from a wide variety of physicians depending on doctor specialty and what problems they are experiencing. Here are a few of the most common types of physicians that you may see in your lifetime:

General Practitioner
Your GP is the doctor that you go to for regular checkups, vaccines and to identify health issues. GPs can treat many different illnesses and injuries, from the common cold to a broken arm. If your health requires a second opinion or expert care, the GP will refer you to a specialist who has the skills to focus in on the issue.

Cardiologist
Heart attacks and heart disease are some of the most common afflictions seen across the country, making cardiologists important to your long-term health. These physicians specialize in studying and treating the heart and related diseases.

Dentist
Other than a GP, the dentist is likely the most common physician you'll ever see. These professionals work with the human mouth, ensuring that your teeth and gum health are up to par. Patients typically go to the dentist twice a year.

Dermatologist
Dermatologists are focused on skin-related issues and diseases, from skin cancers, to acute acne, eczema, psoriasis, and general cosmetic concerns like aging and scars. Most will also perform annual or semi-annual mole checks to screen for any signs of melanoma, the most serious form of skin cancer.

ENT
If you have a number of sinus infections or have had your tonsils taken out, you've likely seen an ENT specialist. ENTs handle ailments related to the ear, nose and throat, often related to taking out tonsils and treating hearing issues.

OB/GYN
For many women, their gynecologist and obstetrician are the same person. These professionals work with the female reproductive system to focus on reproductive health, fertility issues, prenatal care, options for new and expectant mothers, neonatal care and childbirth. OB/GYNs can also help in the early detection of breast or cervical cancer.

Choosing a Physician

There are obviously a number of physicians that you can choose from, but how do you know if they're the best choice for you? Here are a few considerations to help you pick a physician:

Look at Your Insurance
Before you get down to the details, you need to verify which doctors are covered by your insurance and whether they are in or out of your carrier's network. Rates may be cheaper if the doc is in network – a doctor can be covered by your insurance but not necessarily in network. Out of network is typically more expensive. Doctors often add and drop plans, so it's important to ensure that your options are compatible with your insurance plan. Doing your homework will help you avoid unexpected expenses.

Check for Board Certification
Your physician should be certified through the American Board of Medical Specialties. Doctors must earn a medical degree from a qualified school, complete three to seven years of residency training, be licensed by a state medical board and pass one or more ABMS exams to be certified.

Examine the Reviews
Reviews of a doctor can reveal a lot about what your experience may be like. People may grade on staff friendliness, availability and effectiveness of treatment. Looking at these evaluations and getting recommendations from family and friends can direct you toward a physician for your needs.

Choosing a Surgeon

Surgeons can literally hold your life in their hands, and it's important to find the best one that can put you at ease and treat you effectively

Compatibility Factor
You need to feel comfortable with your surgeon. It's important to communicate your concerns and that your surgeon can respond adequately. Surgeons should be willing to go over the details of your procedure and answer any questions that you may have. They must take the time to discuss and address your worries.

Expertise Level
If you're going in for surgery, you want someone that knows what they're doing and has a high success rate. Ask how often the surgeon performs this surgery and try to find one that regularly does it. This will give you peace of mind that you're in capable hands.

Understanding Your Insurance

Your decision on a physician or surgeon can be majorly affected by the insurance plan you have. You may have insurance through employment, your spouse, your parents if you're under 26, or the marketplace if the previous options don't apply to you. It's important to understand how your insurance works to have the full picture of what you'll need to pay for.

Your insurance will have a deductible, which is the amount that you're responsible to pay for covered medical expenses. Some plans have coinsurances, where you must pay a certain percentage of the bill, and insurance will cover the rest. Co-pays state a flat rate for certain services, like paying $20 when you visit your GP or a $100 co-pay for an emergency room visit. Once you reach your out-of-pocket maximum, which will differ if you're an individual or within a family plan, your insurance may pay for 100 percent of covered medical expenses for the rest of the plan year.

If you plan to go to the doctor, need medication or have been recommended for surgery, call your insurance provider or go online to see what your plan covers. You can choose the best doctor for your needs, understand your options and prevent yourself from being blindsided by medical expenses.

Setting Your Appointment

Most doctors require a phone call for an appointment, although some may provide online scheduling as well. Be sure to have your insurance card with you when you set an appointment, and to bring it with you to the actual appointment. They need the ID numbers to verify your coverage, and will usually make a copy of the card for their files so you don't have to show it again unless your insurance changes.

When you call, let them know if you're a new patient, as this will require you to complete some paperwork for your first visit. Tell them the reason for your visit, such as your symptoms if you're feeling sick. It's also important to inform them if you have Medicaid and to find out if you need to bring anything to the visit, like current medications or medical records.

From here, the receptionist will likely ask what dates and times work best for you. During your call, it's important to be honest about your symptoms and the reason for your visit. This information will help the doctor treat you and give him or her an idea of what to expect. Your appointment may progress faster as a result, and the doctor can come prepared with a list of options to better care for you.

Risks

Doctors see a number of patients in a day, sometimes in 15-minute increments in areas where the physicians are in high demand. This can leave little time for doctors to perform thorough examinations, and they can end up missing certain problem indicators. While some problems, like a cold or flu, can be diagnosed in this time, more complex ailments require attention, which takes up time. Reviews can illuminate which doctors actively spend the necessary time with their patients and which ones are pressed against the clock to meet demand.

Surgery has some more dire risks attached to it, so be sure to talk to your surgeon about the potential issues that can come up as a result of your procedure. If a patient has a reaction to anesthesia, it can cause very serious complications, but this is an uncommon occurrence. Blood clots can be a significant problem after surgery, often caused by inactivity during recovery. Infections, numbness, scarring, swelling and death are all possible, but the likelihood of these issues will vary depending on the type of surgery you're undergoing. Talk to your doctor about your concerns and your risk potential.

Aftercare

Surgery affects people in different ways, but as you begin to emerge from anesthesia, you'll want to alert your nurse to any issues you may have. The nurse will tell you how the procedure went, what effect it will have on your condition, what to expect when you get home and how long it will take to get back to normal. If you start feeling pain, the nurse may give you medication to stop it from getting worse. When possible, it's also advised to move around to avoid blood clots from developing in your legs. This can be as simple as occasionally flexing your knee or rotating your foot.

Some surgeries are outpatient procedures, where people are released the same day. For major surgeries, patients may stay at the hospital for a few days to be monitored and address any concerns before being sent home. Discuss with your surgeon the projected length of the hospital stay and what you need to bring.

Recovery and Follow-up

Your recovery time and follow-up expectations will vary depending on your procedure. For example, you can be expected to be on your feet within a few days of having your wisdom teeth taken out, but it may be weeks before you have fully recovered from a broken foot or heart-valve surgery. Your surgeon will give you a list of things that you'll need to do during this time, including what medications to take and when you'll be able to get back to work and other activities.

Every surgery will have a follow-up call or appointment to discuss your recovery and allow you to ask any questions about unusual symptoms or changes in your overall health. If you have a major operation, like heart surgery, it's important to make regular checkups with your doctor or a specialist to ensure that everything is normal. Visiting a doctor will help deter infection and verify that everything is healing as expected. These appointments will give you peace of mind about your state of health and ensure that any issues are caught early on.